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Epinet 

Uniform Blood and Body Fluid Exposure Report
77 Hospitals, 1993-1995

Total Cases: 1766

JOB CATEGORY
M.D. (attending/staff) 61 3%
M.D. (intern/resident/fellow) 97 5%
Medical student 17 1%
Nurse RN/LPN 927 52%
Nursing student 14 1%
Respiratory therapist 41 2%
Surgery attendant 54 3%
Other attendant 96 5%
Phlebotomist/venipuncture/I.V. team 57 3%
Clinical laboratory worker 96 5%
Technologist (non-lab) 83 5%
Dentist 0 0%
Dental hygienist 0 0%
Housekeeper/laundry worker 14 1%
Other 182 10%
( 2 missing)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 671 38%
Outside patient room 46 3%
Emergency department 180 10%
Intensive/critical care unit 162 9%
Operating room 243 14%
Outpatient clinic/office 50 3%
Blood bank 18 1%
Venipuncture 1 0%
Dialysis facility 8 0%
Procedure room 99 6%
Clinical laboratories 82 5%
Autopsy/pathology 5 0%
Service/utility area 16 1%
Other 176 10%
( 1 missing)


SOURCE PATIENT
Was the source patient known?
Yes 1635 93%
No 70 4%
Unknown 41 2%
N/A 17 1%
( 1 missing)


BODY FLUIDS
Which body fluids were involved in the exposure?
Blood or blood product 1766 100%
Vomit 35 2%
CSF 5 0%
Peritoneal fluid 6 0%
Pleural fluid 4 0%
Amniotic fluid 21 1%
Urine 36 2%
Other 84 5%


EXPOSED PART
Was the exposed part:
Intact skin 766 43%
Non-intact skin 403 23%
Eye(s) 835 47%
Nose 70 4%
Mouth 162 9%
Other 49 3%


TYPE OF EXPOSURE
Did the blood or body fluid:
Touch unprotected skin 1502 85%
Touch skin through gap between protective garments 173 10%
Soak through protective garment 42 2%
Soak through clothing 122 7%


PROTECTIVE ITEMS WORN
Which protective items were worn at the time of the exposure?
Single pair latex/vinyl gloves 1041 59%
Double pair latex/vinyl gloves 125 7%
Goggles 64 4%
Eyeglasses 235 13%
Faceshield 69 4%
Surgical mask 256 14%
Surgical gown 227 13%
Plastic apron 11 1%
Lab coat, cloth 169 10%
Lab coat, other 35 2%
Other item 133 8%


RESULT
Was the exposure the result of:
Direct patient exposure 858 49%
Specimen container leaked/spilled 110 6%
Specimen container broke 46 3%
IV tubing/bag/pump leaked 214 12%
Other body fluid container spilled/leaked 103 6%
Touched contaminated equipment 56 3%
Touched contaimnated drapes/sheets, etc. 31 2%
Unknown 16 1%
Other 308 17%
( 12 missing)


TIME IN CONTACT
For how long was the blood or body fluid in contact with your skin or mucous membranes?
Less than 5 minutes 1371 78%
5-14 minutes 248 14%
15 minutes - 1 hour 92 5%
More than 1 hour 39 2%
( 12 missing)


QUANTITY
Estimate the quantity of blood/body fluid that came in contact with your skin or mucous membranes:
Small amount (up to 5 cc) 1526 86%
Moderate amount (5-50 cc) 173 10%
Large amount (more than 50 cc) 56 3%


BODY PART
Right hand, back 194
Right hand, front 201
Left hand, front 187
Left hand, back 96
Right arm 133
Left arm 99
Head 1557
Chest 84
Back 8
Mid-body 18
Right leg 35
Left leg 33
Right foot 10
Left foot 10


OSHA
Is this incident OSHA reportable?
Yes 223 13%
No 1182 67%
( 355 missing)


For those cases that are OSHA reportable:
Cumulative number of days away from work: 0
Cumulative number of days of restricted work activity: 0